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Rebecca J Weaver
Nurse Practitioner in Peoria, Illinois
NPI 1932497922

Rebecca J Weaver is a Nurse Practitioner based in Peoria, IL. Rebecca J Weaver practices in Peoria, IL. The NPI Number for Rebecca J Weaver is 1932497922 and holds a License No. 209008803 (Illinois).

The current practice location address for Rebecca J Weaver is 600 Fayette St, Peoria, IL and can be reached out via phone at 309-671-8019 and via fax at 309-671-4695.

Location: 600 Fayette St, Peoria, IL, 61654-1346
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932497922
Provider Name
Rebecca J Weaver
Credential
Provider Entity Type
Individual
Gender
Female
Address
600 Fayette St, Peoria, IL, 61654-1346
Phone Number
309-671-8019
Fax Number
309-671-4695
Provider Enumeration Date
07/12/2011
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
209008803 01 IL DIVISION OF PROFESSIONAL REGULATION
institution
Provider Business Practice Location Address Details
Address
600 Fayette St
City
Peoria
State
Illinois
Zip
61603-3610
Phone Number
309-671-8019
Fax Number
309-671-4695
person
Provider Business Mailing Address Details
Address
600 Fayette St
City
Peoria
State
Illinois
Zip
61603-3610
Phone Number
309-671-8019
Fax Number
309-671-4695
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
209008803 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
209008803 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209008803 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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